INFORMATION SUBPOENA PAGE 1 OF 7 1111.315.201117/Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com Hub City Law Group Joseph A. Bahgat 96 Paterson Street New Brunswick NJ 08901 732-733-2385 732-733-2386 fax joe@hubcitylawgroup.com Attorney for Plaintiffs Jack Hansen, et al., Plaintiffs; vs. Anthony V. Zisa, et al., Defendants. SUPERIOR COURT of NEW JERSEY LAW DIVISION MIDDLESEX COUNTY Docket No. L–4274-12 Civil Action INFORMATION SUBPOENA THE STATE OF NEW JERSEY, to: Anthony V. Zisa 94 Viola Avenue Clifton, New Jersey 07011 Judgment has been entered against you in the Superior Court of New Jersey, Law Division for Passaic County, on July 25, 2012, in the amount of $29,950.00 plus costs and attorneys’ fees, of which $49,247.00 remains unpaid. Attached to this Information Subpoena is a list of questions that court rules require you to answer within fourteen (14) days from the date you receive this subpoena. If you do not answer the attached questions within the time required, the plaintiff(s) may ask the court to conduct a hearing to determine whether you should be held in contempt. You will be compelled to appear at the hearing and explain your reasons for any failure to answer. INFORMATION SUBPOENA PAGE 2 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com If this judgment has resulted from a default, you may have the right to have this default judgment vacated by making an appropriate motion to the court. Contact an attorney or the clerk of the court for information on making such a motion. Even if you dispute the judgment, you must answer all of the attached questions. You must answer each question by providing complete answers (attaching additional pages if necessary). Providing false or misleading answers may subject you to punishment by the court. You are not required to provide information concerning the income and assets of others living in your household unless you have a financial interest in the assets or income. Be sure to sign and date your answers, and return them to the address in the upper left-hand corner of this notice within fourteen (14) days. Dated: BAHGAT & BAHGAT LLC Attorneys for Plaintiffs By: __________________________ Joseph A. Bahgat s/Jennifer Perez _____________________________ Clerk of the Superior Court of New Jersey INFORMATION SUBPOENA PAGE 3 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com QUESTIONS FOR INDIVIDUAL DEBTORS 1) Full name: 2) Address: 3) Birth Date: 4) Social Security No: 5) Driver’s license no. & expiration date: 6) Telephone No: Fax No: 7) Full name & address of your employer: a) Your weekly salary? Gross: $ Net: $ b) If not presently employed, name and address of last employer: 8) Is there currently a wage execution on your salary? ____ Yes ____ No 9) List names, addresses, and account numbers of all bank accounts on which your name appears: 10) If you receive money from any of the following sources, list the amount, frequency, and the name and address of the source: TYPE AMOUNT & FREQUENCY NAME & ADDRESS OF SOURCE Alimony Loan Payments Rental Income Pensions Bank Interest Stock Dividends INFORMATION SUBPOENA PAGE 4 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com 11) Do you receive any of the following benefits (which are exempt from levy)? Any levy on disclosed exempt funds may result in monetary penalties including reimbursement of the debtor’s out-ofpocket expenses. Social Security ___ Yes Amount per month $__________ ___ No SSI ___ Yes Amount per month $__________ ___ No Welfare ___ Yes Amount per month $__________ ___ No VA ___ Yes Amount per month $__________ ___ No Unemployment ___ Yes Amount per month $__________ ___ No Workers’ Compensation ___ Yes Amount per month $__________ ___ No Child Support payments ___ Yes Amount per month $__________ ___ No Attach copies of the three most recent bank statements for each account listed in Question 9 that contain funds from these sources. 12) Do you own the property where you reside? ___ Yes ___ No If yes, state the following: a) Name of owner or owners: b) Date property was purchased: c) Purchase Price: $ d) Name and address of mortgage holder: e) Balance owed on mortgage: $ 13) Do you own any other real estate: ___ Yes ___ No If yes, state the following for each property:1 a) Address of property: b) Date property was purchased: 1 Attach additional sheets if necessary. INFORMATION SUBPOENA PAGE 5 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com c) Purchase Price: $ d) Names and addresses of all owners: e) Name & address of mortgage holder, if any: f) Balance owed on mortgage: $ g) Names & addresses of all tenants, and monthly rental amount(s) paid by each tenant: 14) Does the present value of your personal property, which includes automobiles, furniture, appliances, stocks, bonds and cash on hand, exceed $1,000? ___ Yes ___ No If the answer is yes, you must itemize all personal property owned by you: a) Cash on hand: $ b) Other personal property (set forth make, model & serial no. If financed, give name and address of party to whom payments are made): ITEM DATE PURCHASED PURCHASE PRICE BALANCE OWED PRESENT VALUE 15) Do you own a motor vehicle? ___ Yes ___ No If yes, state the following for each vehicle owned: a) Year, Make & Model of motor vehicle(s): INFORMATION SUBPOENA PAGE 6 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com b) If there is a lien on the vehicle, sate the name and address of the lien holder and the amount due to the lien holder: c) License plate No(s): d) Vehicle Identification No(s). (VIN): 16) Do you own a business? ___ Yes ___ No If yes, state the following: a) Name and address of the business: b) Is the business a ___ Corporation ___ Sole Proprietorship ___ Partnership c) Names & addresses of all stockholders, officers, and/or partners: d) The amount of gross income received by you from the business during the last twelve (12) months: INFORMATION SUBPOENA PAGE 7 OF 7 MID L–4274–12 Hub City Law Group 96 Paterson Street New Brunswick NJ 08901 732 733 2385 www.hubcitylawgroup.com 17) Set forth all other judgments that you are aware of that have been entered against you and include: CREDITOR’S NAME CREDITOR’S ATTORNEY AMOUNT DUE NAME OF COURT DOCKET NO. I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Dated: Anthony V. Zisa Judgment Debtor

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